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  • 1
    UID:
    almafu_9958246551802883
    Format: 1 online resource (36 pages)
    Series Statement: Policy research working papers.
    Content: There is building evidence in India that the delivery of health services suffers from an actual shortfall in trained health professionals, but also from unsatisfactory results of existing service providers working in the public and private sectors. This study focusses on the public sector and examines de facto institutional and governance arrangements that may give rise to well-documented provider behaviors such as absenteeism, which can adversely affect service delivery processes and outcomes. The paper considers four human resource management subsystems: postings, transfers, promotions, and disciplinary practices. The four subsystems are analyzed from the perspective of front line workers, that is, physicians working in rural health care facilities operated by two state governments. Physicians were sampled in one post-reform state that has instituted human resource management reforms and one pre-reform state that has not. The findings are based on quantitative and qualitative measurement. The results show that formal rules are undermined by a parallel modus operandi in which desirable posts are often determined by political connections and side payments. The evidence suggests an institutional environment in which formal rules of accountability are trumped by a parallel set of accountabilities. These systems appear so entrenched that reforms have borne no significant effect.
    Language: English
    URL: Volltext  (Deutschlandweit zugänglich)
    URL: Volltext  (kostenfrei)
    Library Location Call Number Volume/Issue/Year Availability
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  • 2
    UID:
    almafu_9958955381502883
    Format: 1 online resource (38 pages)
    Series Statement: Policy research working papers.
    Content: Bureaucratic performance is a crucial determinant of economic growth. Little is known about how to improve it in resource-constrained settings. This study describes a field trial of a social recognition intervention to improve record keeping in clinics in two Nigerian states, replicating the intervention-implemented by a single organization-on bureaucrats performing identical tasks in both states. Social recognition improved performance in one state but had no effect in the other, highlighting both the potential and the limitations of behavioral interventions. Differences in observables did not explain cross-state differences in impacts, however, illustrating the limitations of observable-based approaches to external validity.
    Language: English
    URL: Volltext  (kostenfrei)
    Library Location Call Number Volume/Issue/Year Availability
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  • 3
    UID:
    gbv_1027345808
    Format: 1 Online-Ressource (circa 38 Seiten) , Illustrationen
    Series Statement: Policy research working paper 8473
    Content: Bureaucratic performance is a crucial determinant of economic growth. Little is known about how to improve it in resource-constrained settings. This study describes a field trial of a social recognition intervention to improve record keeping in clinics in two Nigerian states, replicating the intervention-implemented by a single organization-on bureaucrats performing identical tasks in both states. Social recognition improved performance in one state but had no effect in the other, highlighting both the potential and the limitations of behavioral interventions. Differences in observables did not explain cross-state differences in impacts, however, illustrating the limitations of observable-based approaches to external validity
    Additional Edition: Erscheint auch als Druck-Ausgabe Gauri, Varun Motivating Bureaucrats through Social Recognition: Evidence from Simultaneous Field Experiments Washington, D.C : The World Bank, 2018
    Language: English
    Keywords: Graue Literatur
    URL: Volltext  (Deutschlandweit zugänglich)
    Author information: Gauri, Varun 1966-
    Library Location Call Number Volume/Issue/Year Availability
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  • 4
    UID:
    edoccha_9958246551802883
    Format: 1 online resource (36 pages)
    Series Statement: Policy research working papers.
    Content: There is building evidence in India that the delivery of health services suffers from an actual shortfall in trained health professionals, but also from unsatisfactory results of existing service providers working in the public and private sectors. This study focusses on the public sector and examines de facto institutional and governance arrangements that may give rise to well-documented provider behaviors such as absenteeism, which can adversely affect service delivery processes and outcomes. The paper considers four human resource management subsystems: postings, transfers, promotions, and disciplinary practices. The four subsystems are analyzed from the perspective of front line workers, that is, physicians working in rural health care facilities operated by two state governments. Physicians were sampled in one post-reform state that has instituted human resource management reforms and one pre-reform state that has not. The findings are based on quantitative and qualitative measurement. The results show that formal rules are undermined by a parallel modus operandi in which desirable posts are often determined by political connections and side payments. The evidence suggests an institutional environment in which formal rules of accountability are trumped by a parallel set of accountabilities. These systems appear so entrenched that reforms have borne no significant effect.
    Language: English
    Library Location Call Number Volume/Issue/Year Availability
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  • 5
    UID:
    edocfu_9958246551802883
    Format: 1 online resource (36 pages)
    Series Statement: Policy research working papers.
    Content: There is building evidence in India that the delivery of health services suffers from an actual shortfall in trained health professionals, but also from unsatisfactory results of existing service providers working in the public and private sectors. This study focusses on the public sector and examines de facto institutional and governance arrangements that may give rise to well-documented provider behaviors such as absenteeism, which can adversely affect service delivery processes and outcomes. The paper considers four human resource management subsystems: postings, transfers, promotions, and disciplinary practices. The four subsystems are analyzed from the perspective of front line workers, that is, physicians working in rural health care facilities operated by two state governments. Physicians were sampled in one post-reform state that has instituted human resource management reforms and one pre-reform state that has not. The findings are based on quantitative and qualitative measurement. The results show that formal rules are undermined by a parallel modus operandi in which desirable posts are often determined by political connections and side payments. The evidence suggests an institutional environment in which formal rules of accountability are trumped by a parallel set of accountabilities. These systems appear so entrenched that reforms have borne no significant effect.
    Language: English
    Library Location Call Number Volume/Issue/Year Availability
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  • 6
    UID:
    edoccha_9958955381502883
    Format: 1 online resource (38 pages)
    Series Statement: Policy research working papers.
    Content: Bureaucratic performance is a crucial determinant of economic growth. Little is known about how to improve it in resource-constrained settings. This study describes a field trial of a social recognition intervention to improve record keeping in clinics in two Nigerian states, replicating the intervention-implemented by a single organization-on bureaucrats performing identical tasks in both states. Social recognition improved performance in one state but had no effect in the other, highlighting both the potential and the limitations of behavioral interventions. Differences in observables did not explain cross-state differences in impacts, however, illustrating the limitations of observable-based approaches to external validity.
    Language: English
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
  • 7
    UID:
    edocfu_9958955381502883
    Format: 1 online resource (38 pages)
    Series Statement: Policy research working papers.
    Content: Bureaucratic performance is a crucial determinant of economic growth. Little is known about how to improve it in resource-constrained settings. This study describes a field trial of a social recognition intervention to improve record keeping in clinics in two Nigerian states, replicating the intervention-implemented by a single organization-on bureaucrats performing identical tasks in both states. Social recognition improved performance in one state but had no effect in the other, highlighting both the potential and the limitations of behavioral interventions. Differences in observables did not explain cross-state differences in impacts, however, illustrating the limitations of observable-based approaches to external validity.
    Language: English
    Library Location Call Number Volume/Issue/Year Availability
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  • 8
    UID:
    gbv_79759115X
    Format: Online-Ressource
    Series Statement: Health, Nutrition and Population (HNP) discussion paper
    Content: This case study analyzes the reasons for adoption and the implementation process of a key policy in Chhattisgarh state, India, to create a rural cadre of trained physicians in order to address the acute shortage of doctors in the state's primary health facilities. It documents the experience specific to Chhattisgarh state, but with its attention to the policy processes and implementation challenges associated, it also highlights the necessity of a political economy perspective currently missing in much of the published literature on human resources for health. A principal lesson of this case concerns why it matters how interests of various stakeholders who had interests in the three-year course are included early in the policy process, namely the anticipated opposition of the medical doctor community represented by the Indian Medical Association (IMA) and the interests of the students themselves and their desire to be given appropriate status as medical doctors. This case study addresses the legal hurdles faced and the importance of institutional support structures to maintain quality standards and provide for grievance procedures. Through this case study, it also becomes apparent why the role of institutional ownership of policy matters rather than success or failure of policy that is linked entirely to the authority of a few key appointed officials.
    Note: English , en_US
    Language: English
    URL: Volltext  (kostenfrei)
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  • 9
    Online Resource
    Online Resource
    Washington, DC : World Bank
    UID:
    gbv_797585672
    Format: Online-Ressource
    Series Statement: India health beat, vol. 1 5
    Content: This note identifies some key areas for priority action in the current favorable contest for policy in the nursing sector in India. The present policy focus on increasing the number of nurses and nurse training centers is understandable given the countries nurse-to-population ratio is very low. However; based on evidence from Uttar Pradesh and Tamil Nadu, the findings presented here suggest that such a focus on numbers alone are not the priority concerns of nursing
    Note: English , en_US
    Language: English
    URL: Volltext  (kostenfrei)
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  • 10
    UID:
    gbv_797585559
    Format: Online-Ressource
    Series Statement: India health beat, vol. 1 6
    Content: This note describes the career preferences of graduating medical and nursing students in Uttar Pradesh, with special reference to incentives offered for and work attributes of employment opportunities in rural areas. Results indicate that medical students prefer to concentrate on their post-graduate education and are not inclined to work in rural areas while nursing students have a greater predilection to work in public rural settings. The note draws attention to the fact that it is a tougher challenge to increase the supply of physicians in rural areas as compared to nurses and incentives offered to prospective health workers will be more effective ill the form of incentive packages.
    Note: English , en_US
    Language: English
    URL: Volltext  (kostenfrei)
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